Adult female acne or hormonal acne is a fairly common problem between the ages of 22 and 50 that affects more than 20% of women.
Acne is a condition in which excess secretion from the sebaceous glands – along with dead skin cells – blocks the hair’s exit duct. These clogged pores favor the production of bacteria and infection, which leads to the appearance of pus with consequent inflammation of the skin and active infection that often leaves scars.
Hormonal acne in puberty
There is hormonal acne, which is more common in women than in men and persists after the age of 25. Among the causes are genetic factors (some people are more susceptible than others), pollution, and stress. Without reducing hormonal fluctuations, from menstruation to pregnancy or the puerperium. Over the years, pimples go from settling in the T-zone (the forehead, nose, and around the mouth) to favoring the U-zone (cheekbones, jaw, and neck).
The presence of the typical papular pustule decreases and the inflammatory lesions, even painful ones, that leave spots or scars, increase. When the war began, we discovered that 60% of adult acne did not respond to antibiotics or topical retinoids. Systemic antibiotics are prescribed only in the case of an acute outbreak with a lot of infections. In your 30s, topical retinoids appear on more sensitive, dry skin. In some women, oral contraceptives, vaginal rings, and hormonal patches, by regulating the menstrual cycle, have beneficial effects on acne
What are the main causes of hormonal acne?
Hormonal acne is caused by a reaction of the sebaceous glands to androgen hormones. The sebaceous glands respond to circulating hormones by secreting excess sebum. When there is a hormonal change such as the menstrual cycle, pregnancy, or a hormonal change such as PCOS, there is an increase in the appearance of acne lesions.
What is the percentage of patients with this condition?
And hormonal acne can occur in people of all ages. It reaches 80% of cases of acne in adults or appears in women who suffer from hormonal changes.
What areas are mainly affected?
Chin, jaw, submandibular area, and around the mouth.
From what ages do you begin to appear?
Regularly from age 25 to age 50.
Emotional stress can exacerbate acne, which is easily appreciated in clinical practice.
What is the most effective way to treat it? Should I use products containing benzoyl peroxide or salicylic acid?
It is essential to treat hormonal acne with basic medications such as isotretinoin because the problem tends to be resistant to topical medications. Topical antibiotics and retinoids may be a good option in select cases, especially mild cases. Benzoyl peroxide and salicylic acid are aids in the treatment.
There are different treatments to treat or eliminate acne, but visiting a specialist for better results is not a bad thing.
Does diet or stress affect? At any row?
According to recent studies, foods with a high glycemic index and frequent consumption of dairy products are the main factors in the relationship between diet and acne. Emotional stress can exacerbate acne, which is easily appreciated in clinical practice. This may be because glucocorticoids and androgens are greatly increased in response to stressful emotional events.
What are the ideal cleansing and facial routine for someone with hormonal acne?
Clean the face twice a day with a skin cleanser.
How should an outbreak be treated if that area of the face has already been touched, or has been misused?
Don’t touch it and let it heal without tearing the peel. A topical antibiotic such as Clindamycin gel may be used.
How can you remove marks and scars from hormonal pills?
In the same way as usual acne scars; Peels, CO2 lasers, and hyaluronic acid injections are available.
What kind of moisturizers or serums can be used when suffering from hormonal acne?
It is preferable not to use creams, serums containing retinoids, salicylic acid, or anti-inflammatory
Does menopause kill acne?
In menopause, female hormones decline, and testosterone becomes one of the main causes of acne in menopausal women because it stimulates sebum production. some alternatives? And hormone replacement therapy in menopause, to keep testosterone levels under control and reduces outbreaks.
The last agent to come into play is Botox. Applying it in different dilutions and using different infiltration techniques complementing the usual method (in a form similar to mesotherapy), botulinum toxin can regulate the secretion of glands.
What other types of treatments are available to remove hormonal acne?
These treatments may be suggested in specific cases, either on their own or in combination with medications.
Laser and photodynamic therapy. A variety of light-based therapies have been tried with some success. But more studies are needed to determine the ideal method, light source, and dose.
Chemical peeling. for this procedure, a chemical solution, such as salicylic acid, glycolic, or retinoic acid is repeatedly applied. Acne improvements do not last long, so treatment should generally be repeated.
Remove closed comedones and open comedones. Special tools may be used to gently remove open and closed blisters that have not been removed by topical medications. This technique can lead to scar formation.
Steroid injection. Nodular and cystic lesions can be treated with direct steroid medication injections. This treatment resulted in rapid improvement and pain reduction. Side effects can include thinning of the treated area.
The last agent to play its part is Botox. Applying it in different dilutions and using different infiltration techniques complementing the usual method (in a form similar to mesotherapy), botulinum toxin can regulate glandular secretion by acting on acetylcholine, the neurotransmitter involved in sebum secretion.
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